Fat Grafting Candidate With Extremely Thin Skin Under Eye?

Thank you for your question and for your photos. Based on your photos provided, you are an ideal candidate for facial fat grafting. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are. 

This is a very challenging area to treat with fat grafting.  There's little margin for error here, and any lumpiness or irregularity in the fat grafting, even in the best of hands, may show.

If you were my sister, I'd probably tell you to use a hyaluronic gel product, rather than fat grafting.  That way, if you don't like the result, it can be "erased" with an injection of hyaluronidase enzyme.

 

All the best,

I read your concern:

In my practice, Silikon-1000, an off-label filler for permanent results, may be used to correct lower eyelid hollowing. Thin skin may increase your risk of bruising or experiencing visible product at your injection site.

I hope this is helpful for you.

Dr. Joseph

Please do not let someone experiment on your eyelids.  We know the end result.  Lumps, bumps and much unhappiness.  Fat grafting the lower eyelid is not a great procedure to begin with.  The key for it to even remotely work is the ability to hide grafted fat under thicker skin and in fat layers.  If you have thin skin and a think lower eyelid, no matter how good those Newport Beach surgeons are at blowing smoke in your direction, you are have very high risk of having an unsatisfactory result.  That is probably why you are posting on this site.  Somewhere in your brain you know this sounds too good to be true.  Please listen to that intutition.

Fat grafting can be great for you. The thin skin can sometimes make the results more difficult to achieve. But you have to either accept the thin hollow lower eyelid skin or go with the fat grafting. Fat grafting can be done with this anatomy and you can get great results. But I would go to someone with experience.